medigraphic.com
ISSN 1561-2937 (Print)

2016, Number 3

<< Back Next >>

Rev Cubana Cardiol Cir Cardiovasc 2016; 22 (3)

Associated variables to perioperative events in patients who suffer from valve disease and pulmonary hypertension

Fernández MJE, Padrón GKM

Language: Spanish
References: 19
Page:
PDF size: 333.65 Kb.


ABSTRACT

Introduction: Pulmonary hypertension increases the risk of complications after cardiac surgery.
Objective: To determine the association between several variables and perioperative events in patients with pulmonary hypertension due to valve disease, from January 2010 to December 2012.
Methods and results: we conducted a cohort study with two groups, 73 patients with valve disease and pulmonary hypertension and 70 patients without pulmonary hypertension. The group with pulmonary hypertension was more risk to perioperative mortality (OR=3.54; p=0.049). The prolonged bypass time, a reduce ejection fraction and a previous renal disease were the variables associated to perioperative complications in the pulmonary hypertension group.
Conclusions: The patients who suffer from pulmonary hypertension are vulnerable to complications during perioperative period of valve heart disease surgery. The most important variables associated to bad prognosis are prolonged bypass time, a reduce ejection fraction and previous renal dysfunction.


REFERENCES

  1. Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Esquivias BB, Baumgartner H, et al. Guías de práctica clínica sobre el tratamiento de las valvulopatías. Rev Esp Cardiol 2013; 66(2):131:1-42.

  2. Roger LV, Go AS, Lloyd JM, Benjamin EJ, Berry JD. Heart Disease and Stroke Statistics-2012 Update: A Report from the American Heart Association. Circulation 2012; 125:122- 4.

  3. Dirección Nacional de Registros Médicos y Estadísticas de Salud. Anuario estadístico de salud 2011. La Habana (Cuba): MINSAP; 2012.

  4. Strange G, Playford D, Stewart S, Deague JA, Nelson H, Kent A, et al. Pulmonary hypertension: prevalence and mortality in the Armadale echocardiography cohort. Heart 2012; 98:1805-11.

  5. Spencer JD, Melby MD, Moon RM, Lindman BR, Bailey MS, Hill LL, Damiano RJ. Impact of pulmonary hypertension on outcomes after aortic valve replacement for aortic valve stenosis. J Thorac Cardiovasc Surg 2011; 141:1424-30.

  6. Lancellotti P, Magne J, Erwan D, O’Connor K, Dulgheru R, Rosca M, et al. Determinants and prognostic significance of exercise pulmonary hypertension in asymptomatic severe aortic stenosis. Circulation 2012; 126:851-9.

  7. Bacallao F, Matos I, Llanes JR, Guevara L, Chil R, Martin A. Morbilidad y mortalidad de la cirugía valvular aórtica. Rev Cubana Cardiol Cir Cardiovasc 2012; 18(1):14-9

  8. Pérez JL, Martín JC, Carrasco M, De la Cal MA, Hinojosa R, Sagredo V, et al. Guías de práctica clínica para el manejo del síndrome de bajo gasto cardíaco en el postoperatorio de cirugía cardíaca. Med Intensiva; 2012; 36(4):1-44.

  9. Ranieri MV, Gordon DR, Taylor B, Ferguson ND, Caldwell E, Fan E, et al. Acute Respiratory Distress Syndrome JAMA 2012; 307(23):1-8.

  10. Mehrdad G, Evans CF, De Filippi CR, Hobbs G, Young CA, Griffith BP, et al. Pulmonary hypertension adversely affects short- and long-term survival after mitral valve operation for mitral regurgitation: Implications for timing of surgery. J Thorac Cardiovasc Surg 2011; 142:1439-45.

  11. Rosenhek R, Lung B, Tornos P, Antunes MJ, Prendergast BD, Otto CM, et al. ESC Working Group on Valvular Heart Disease Position Paper: assessing the risk of interventions in patients with valvular heart disease. Eur Heart J 2012; 33:822-8.

  12. Caballero J, Gómez JJ, Valencia FM, Cabrera F, Rodríguez I, Sánchez G, et al. Influencia del sexo en el pronóstico perioperatorio de pacientes sometidos a sustitución valvular por estenosis aórtica severa. Rev Esp Cardiol 2009; 62(1):31-8.

  13. Bojar RM. Post ICU Care and Other Complications. En: Bojar RM, editor. Manual of Perioperative Care in Adult Cardiac Surgery. 5ta edición. Oxford: Wiley-Blackwell; 2011. p. 755.

  14. Bojar RM. Early Postoperative Care. En: Bojar RM, editor. Manual of Perioperative Care in Adult Cardiac Surgery. 5ta edición. Oxford: Wiley-Blackwell; 2011. p. 301-45.

  15. Licker M, Diaper J, Cartier V, Ellenberger C, Cikikcioglu M, Kalangos A, et al. Clinical review: Management of weaning from cardiopulmonary bypass after cardiac surgery. Annals of Cardiac Anaesthesia 2012; 15(3):206-23.

  16. Bojar RM. Mediastinal Bleeding. En: Bojar RM, editor. Manual of Perioperative Care in Adult Cardiac Surgery. 5ta edición. Oxford: Wiley-Blackwell; 2011. p. 347-73.

  17. Bojar RM. Respiratory Management. En: Bojar RM, editor. Manual of Perioperative Care in Adult Cardiac Surgery. 5ta edición. Oxford: Wiley-Blackwell; 2011. p. 385-98.

  18. Patel UD, Garg AX, Krumholz HM, Shlipak MG, Coca SG, Sint K, et al. Preoperative Serum Brain Natriuretic Peptide and Risk of Acute Kidney Injury After Cardiac Surgery. Circulation 2012; 125:1347-55.

  19. Tolwani A. Continuous Renal-Replacement Therapy for Acute Kidney Injury. N Engl J Med 2012; 367:2505-14.




2020     |     www.medigraphic.com